| NPI | 1174866040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: NY 304341) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 304341) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-04-14 |